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Home My WebLink AboutPermit Electrical 2005-1-25 j~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~"~O'''O' 0' ~~ ELECTRlCALPERMIT APPLICATION Q, "~/~"'o'~^ ,I. / V/.' O:~, City Job Number COM7ffOI./-OI4!fY Date 1/'];'1/0 J-- "'v,," G O'G~cp"o/ . i )0.... "'0 ~(' ~... ,...~ ...~ ~~'-" '..- t'.~: ~&. .,....~~. .~.\ 3. ~HJlI1.f..FP"}.'!} -!:'E,E, $ClfElJ.f.Jt; " W~~90::"'l~,,' . (7~ ~ 0'1 ,,~ ~ ~ ~",". " f) . .. _ (}.~. OS'~ A. ,'~~)'. ~!.~e,~!_d.enlial. -' Single ~r M.ulti~ wellii'i'g,,~>.il.:. .. II" ""0.0'1(," Service Inclnded :b G-",.. "'i> {oil- ~V-'f~~ Permits are non-transIerable and expire iI work is Each ManuIact'd Home or not started within 180 days of issuance or iI work is Modular Dwelling Service or Suspended for 180 days. Feeder ~"....~~~..;~"~';,~..\,..~~,,.t""~~""''''1,'!7!''.'\;'!i:':~'''''T,..,.'\'1':r~_."''',.,': <i.:..i-....-. ~t-:,".. ....... .:: '" , : ~'r'()\ltO' ....,... ''', . , 2. :qPY,..TRA, ,_,.9T.PJ{,jli~r~,~.~.i1'p,qJY.p!"Lr. . B. ,"Ser,vicer, o'!.9Foe,~(\\lr.i ..<I~si~lihliol:Jn\\\A\,Jternlio/l$ or, Relocolion: '. "-~ ""... .p." .... .-....,~ .J'" oegOO' o _ III ' ".f:' '..;_r.\?dby\l'1e f I\ortl'1 Electrical Contractor nlllldPfS t:.1E'c+r, C InC ,-,JO.O)\mp.orless....ose lules ale se_ con', $ 63.00 . . ("o!lle' \ 1\ OAR 95<<-"- . U",.<?O.lrAmp. tQ040,O,AmrSJgl'1 . -5 "'\I $ 75.00 " " - "01 11"\ii"'- l'1e ' io oMOll'Alnps (, 6Rgif\'!Jg~ieS 0\\ '~';n'; $125.00 '.' ,\ maY 00 . . \1'1B lelet''' . ' 009C60,IJI\~psdgr!lQ.Q9 {tmp~'.. No\\"n~liOO_ $163,00 Phone 4 ~S~ CAJ.:::>.. C'0~~Jpg{Ot~l)'lll1IO<yJe Ul\\I~Y 344) $375.00 lluRecon8'iiM;lrl~ 1-800-332 Z $ 50,00 "".: . ',-".l.:- ~.,"":....-'r.Ill"",~.,....~ f". . " . . 'o:;f" ...' -:"" .",. ."~''''~', ',~'4J 1. f'LOCA110NOl~INSTALI.A110N:. ;-::::ft~.;{:.t '..4-'='"_'-'...r..... .,' .'.l.....',..'......, .' . ..f....~.~'4.'t:: ,~. ...,....,,~:\ ... :.... " 2'2-0 vn A (I\! '>. LEGAL DESCRIPTION i70 J 3bl( l 0'2-700 JOB DESCRIPTION ,z. C,ll..c......,h Address IClS Mack')(Yl City fS"IJjene Supervisor Liceme Number3-:J.Q 0 - S Expiration Date I (), 1- MO I iL.O Constr. Contr. Number 4-:;)q { 0 Expiration Date I J.-ID-OJ -- Owners Name vv1 {e { 671-'--- fL Phone 71.( {- L/ 9 II .' Address ~.AW\.0It,tl-- Sf 2.. S?I:::~ City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 1000 sq. ft. or Ie.. Each additional 500 sq. It. or portion thereoI " $50,00 :X,,'-:;i~"" ", '".- "':7' - ":-.~"":". .. -,y:'r~':'. "~:~:'~i' "}"~r~"<-:'~'. ;'.... . 'J,"J:l'"':'.u.':"'l' C. .T~~po~~ry..S~r,Y1~~~or,F~~ders ,:t. '.}', "":"i',, :I~-:.,~";,'{,, ~:.;~':/ Installation, Alteration or Rclocntion 200 Amps or less $ 50,00 201 Amps 10400 Amps $ 69,00 401 Amps 10 600 Amps ,,,,~...~IOO.OO ~~1~~~~q~r.~,~r,~Q([o~~\~~i~~f~h~~~1~: ,. ''i'' '. ,,,;,-,,., D. 'Branch.G,.,"cUl\s"H \1:1. 'b"'~,cO.tOO . ,,,.,.," . " <.,' .1,' '.' \\\\iOl-\\LtIJ v,,-~c . ^N ON" l n... " .,'" J1,N AI -~., [\0 E' P.BI". P P I C J~J1\~\JC;tajlon.or 'xtenslOn er ane I ('jne €ircuitJ1,'{ PERIOD. $ 43.00 4 3 ~''il IV"'- Each Additional Circuit or with // ~ Service or Feeder Pemlit $ 3.00 "3 ..) E. ...M.iscellnneons (Servicelfeeder not included).-Ench Installation " '. ",' Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimnm Electric Permit Inspection Fee is $45.00 + Surchnrges "'~', : '.' ..... .... '", ';"""-";- '~.P"~"-' .lo." '..,.... 4. ;'~YIJr~TAI;/)FfWO:Vf:~i,< ." ,. ~.. ....,' '... . 7b S"':l z.. 7b0 ~g ?Z- " , 7% State Surcharge 10% Administrative Fee TOTAL Shnred Drive(T:)lBuilding FonnslEleclricnl Pcnnit ^pplicnlion I-03,doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . Ll1 r OF ~rK11'lut<mLD . Building/Combination Permit PERMIT NO: COM2004-01484 ISSUED: 01/21/2005 APPLIED: 12/03/2004 EXPIRES: 07/21/2005 VALUE: $ 52,433.00 SITE ADDRESS: 2120 MAIN ST ASSESSOR'S PARCEL NO.: 1703364202700 Springfield TYPE OF WORK: Store TYPE OF USE: Remodel PROJECT DESCRIPTION: Zamora Market & Deli Tenant Improvement Commercial Owner: ZAMORA MARKET Address: 512 67TH PL SPRINGFIELD OR 97478 Contractor APAZ MARKUS THOMPSON CONSTRUCTION IN 158184 BUILDERS ELECTRIC INC 4296 PORTLAND QUALITY ROOFING 158738 BARNES HIGH TECH PLUMBING 1NC 83311 I BUILDING IN~ORMAiftpff".\J'~i;' N' ureH" , . oreg~ p -ncl'lI\~gf~Jg!ies}\ b~ ~~Ies are set t'4'. Lot Size: M !.oIIOW n)~~MI'.shllRi1l'i1i h 0,,1\ 9S2..()O" Sq Ft 1st Floor: B l'loti\icat\C'~PMf(Jtl!:fi:thro.9 ot the Nles If Sq Ft 2nd Floor: VN in O",r. 9\yal~~ typeifl COPI~~e telephone Sq Ft Basement: 0090. '/OR.mJl~~~ tNote. 'li\'J Notif1cat\Ol' Sq Ft Garage/Carport ca\\in~~J'JlX..t'\!Jltl90fl UtI -2344). Sq Ft Other: nUlT\bSp'r%llleil RyiQIl~32 nla Occupant Load: rpl\terl5" , DEVELOPMENTINFORMATION , Contractor Type Architect General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A vaihible: Special Instruction: Notes: Phone Number: 541-741-4922 I CONTRACTOR INFORMATION I License Expiration Date Phone 541-744-2046 541-284-1121 541-485-0922 503-254-4277 541-726-9854 0111312006 12/1012007 02/1912006 02/17/2008 REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: l\1t INOP-\\ L.-.-;:.'':\:.... , _,,'. l C'lPf'tl':l'I''-::-: Ie. t-IGl I PUBLI\,:,1MP:~()Y'~~E!,S:fS" 1\11" Ot-ltD tOP- f>,1,)1\10I-\ll-CtD OP- IS f>,'O~~.P.,walk Type: CON\N\~~ Df>,'1 ?tP-IOD. Downspouts/Dralns: f>,t-l'1 IV Pa\1e 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review CommlIndlPubllc -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Not Listed Backfiow Device Building Permit Exhaust Hoods Fixture Minimum/Adjustment Mechanical Plan Review CommlIndlPubllc Plan Review Fire & Life Safely Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Fire Department Review Initial Review 12/07/2004 1210612004 . I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 52,433.00 Total Value of Project Fppo p"W Amount Paid Date Paid $240.92 $10.00 $58.14 $40.69 $15.00 $14.00 $382.35 $9.00 $140.00 $15.00 $7.61 $152.94 $292.43 $384.70 $33.86 $6.00 $7.60 $5.32 $43.00 $33.00 12/3104 1121105 1/21105 1/21105 1/21/05 1121/05 1/21/05 1/21105 1/21105 1/21105 1/21/05 1/21105 1/21105 1/21105 1/21/05 1/21105 1/24105 1/24105 1/24105 1/24105 $1,891.56 , Plan Reviews , 12/1 012004 OK 12/06/2004 APP LLH Paee 2 of4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01484 ISSUED: 01/21/2005 APPLIED: 12/03/2004 EXPIRES: 07/21/2005 VALUE: $ 52,433.00 Value Date Calculated $52,433.00 $52,433.00 01/1912005 Receipt Number 1200400000000001692 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000094 1200500000000000105 1200500000000000105 1200500000000000105 1200500000000000105 GRG See attached documents for fire department plan review comments. . . CITY OF SPRINul'l~LU Building/Combination Permit Status Issued PERMIT NO: COM2004-01484 225 Fifth Street~ Springfield, OR ISSUED: 01/21/2005 541-726-3753 Phone APPLIED: 12/03/2004 541-726-3676 Fax EXPIRES: 07/21/2005 541-726-3769 Inspection Line VALUE: $ 52,433.00 Plan nine Review 12/07/2004 1210812004 APP EMM Last permit submitted (COM2004-01375) had LUCS requirements for shopping center site to be completed (street tree, catch basin filters, bicycle parking, ADA spaces. Copy of requirements enclosed. These Improvements must be completed before final of either projects. Public Works Review 1210712004 1210912004 APP SB SDCs added for new fixtures. No change in use within shopping center. No new Impervious. Connecting to existing Sanitary Sewer Lines. Structural Review 1210612004 12/1 012004 WE JMP See attached 11 structural comment! faxed to Art Paz. Structural Review 01/18n005 01/1812005 10 JMP WE. Art Paz dropped off a job estimate and general and electrical contractor information. Still waiting on information for 11 comments. Structural Review 01/1912005 01/1912005 APP JMP Art Paz delivered his structural response letter dated 12121n004. Nick at Markus Thompson said he would fax the balance Df the contractor data. SUB Review 12/0712004 12/1712004 APP JF Energy code forms submitted 12-16-04. To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~iPlrt In",nl~rUI&W Framing Inspection: Prior to cover and after ali rough in inspections have been approved. Walllnsulation: Prior to cover. Drywall: Prior to taping. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building Is complete. Rough Plumbing: Prior to cover and including required testing. Grease Trap: Prior to Cover. Final Plumbing: When ali plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee30f4 . . CITY OF SPRIN",nl:<"LD' Building/Combination Permit PERMIT NO: COM2004-01484 ISSUED: 01/21/2005 APPLIED: 12/03/2004 EXPIRES: 07/21/2005 VALUE: $ 52,433.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Divisi~n, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the sUe at all times during construction. Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street Spri.,gfi~ld, Oregon 97477 54i-726-3759 Phone JoblJournal Number COM2004-01484 COM2004-01484 COM2004-01484 COM2004-0 1484 Payments: Type of Payment CreditCard 1/2412005 . . RECEIPT #: 8~.1ILO_ ..... ~ ~.: .Jii.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000105 Date: 01124/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received. djb 09.7818 In Person Payment Total: Page 1 of 1 1:08:04PM Amount Due 43.00 33.00 5.32 7.60 $88.92 Amount Paid $88.92 $88.92